Average Medicaid Substance Abuse Treatment Payments in Twin Falls, ID: $108.64
Avg. Paid
$108.64
Range
$31.75 – $244.69
Total Claims
60,035
Providers
21
Typical Payment Range
Typical Medicaid Substance Abuse Treatment payments fall between $34.14 and $105.27 per claim (median: $65.20). The top 10% of payments exceed $163.43.
Based on per-provider averages across all Medicaid claims in this category.
Treatment programs for substance use disorders, including detoxification, counseling, medication-assisted treatment (MAT), and rehabilitation services.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Substance Abuse Treatment in Twin Falls, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark Allen Gritton
1363 Fillmore St |
$106.79 | 9,215 | 2,678 |
|
Jason K. Beard
284 Martin St |
$59.71 | 7,099 | 1,877 |
|
Vcc Inc
1092 Eastland Dr N Ste C |
$244.69 | 6,587 | 713 |
|
Twin Falls School District #411
301 Main Ave W |
$189.24 | 5,287 | 458 |
|
Tracy Thompson-Benedictus
1411 Falls Ave E Ste 703 |
$95.21 | 5,214 | 1,488 |
|
Larry Kirk Hazen
260 2Nd Ave E |
$74.85 | 4,682 | 1,349 |
|
Krysta Vitek
601 Pole Line Rd |
$46.38 | 4,533 | 1,496 |
|
Cynthia Lynn Opdycke
1373 Fillmore St |
$106.07 | 3,728 | 1,164 |
|
Kelly Smothers
219 Gooding St N |
$58.57 | 2,879 | 895 |
|
Sarah Deaun Walling-Gifford
1102 Eastland Dr N |
$103.59 | 2,725 | 816 |
|
Jaci Eren Urie
630 Addison Ave W |
$63.47 | 2,704 | 1,004 |
|
Primary Therapy Source, Inc
254 River Vista Pl |
$117.85 | 1,323 | 192 |
|
Alice Faye Potthast
647 Filer Ave |
$98.48 | 1,117 | 317 |
|
Sonia Fry
284 Martin St |
$54.96 | 1,044 | 274 |
|
Jonathan James Butler
284 Martin St |
$55.55 | 997 | 217 |
|
Lorene Hartje-Mahan
219 Gooding St N |
$49.11 | 356 | 125 |
|
Lonnie Paul
1092 Eastland Dr N Ste A |
$59.41 | 335 | 82 |
|
Jennifer Lynn Searle
284 Martin St |
$65.21 | 110 | 55 |
|
Tammy L Felps
264 Main Ave S |
$31.75 | 58 | 26 |
|
Francine M Bailey
451 Eastland Dr Ste 7 |
$42.90 | 27 | 16 |
|
Emina Mustafic
550 Polk St Ste A |
$53.04 | 15 | 14 |
What to Expect: Substance Abuse Treatment
Substance abuse treatment varies widely based on the program. Outpatient treatment involves regular counseling sessions and may include medication-assisted treatment (like Suboxone or methadone). Intensive outpatient programs (IOP) involve 9-20 hours per week of structured treatment. Individual counseling, group therapy, and peer support are common components.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services | $20.02 | 312,323,784 | 3,904 |
| H0004 | Alcohol and/or drug services | $89.45 | 73,272,784 | 23,966 |
| H0038 | Self-help/peer svc per 15min | $102.60 | 30,385,812 | 7,670 |
| H0015 | Alcohol and/or drug services | $152.04 | 25,053,675 | 9,061 |
| H0005 | Alcohol and/or drug services | $53.46 | 23,222,742 | 9,936 |
| H2036 | A/d tx program, per diem | $258.14 | 18,209,988 | 1,399 |
| H0023 | Alcohol and/or drug outreach | $129.61 | 9,489,348 | 1,230 |
| H2035 | A/d tx program, per hour | $133.88 | 8,557,719 | 772 |
| H0006 | Alcohol and/or drug services | $58.37 | 8,299,938 | 8,185 |
| H0025 | Alcohol and/or drug preventi | $59.91 | 4,103,530 | 1,218 |
| H0010 | Alcohol and/or drug services | $422.31 | 3,875,371 | 395 |
| H0001 | Alcohol and/or drug assess | $82.04 | 3,265,107 | 5,031 |
| H0002 | Alcohol and/or drug screenin | $50.82 | 3,220,721 | 4,504 |
| H0049 | Alcohol/drug screening | $6.25 | 2,594,750 | 4,239 |
| H0022 | Alcohol and/or drug interven | $34.60 | 942,099 | 951 |
| T1012 | Alcohol/substance abuse skil | $61.60 | 820,776 | 236 |
| H0014 | Alcohol and/or drug services | $206.17 | 618,111 | 786 |
| H0012 | Alcohol and/or drug services | $266.77 | 587,849 | 172 |
| H0050 | Alcohol/drug service 15 min | $39.26 | 340,958 | 472 |
| H0007 | Alcohol and/or drug services | $261.94 | 101,784 | 110 |
| T1006 | Family/couple counseling | $172.57 | 38,563 | 50 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Substance Abuse Treatment cost in Twin Falls, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Substance Abuse Treatment in Twin Falls, ID is $108.64 per claim, based on 60,035 claims from 21 providers. Typical payments fall between $34.14 and $105.27. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Substance Abuse Treatment in Twin Falls, ID?
There are 21 Medicaid providers offering Substance Abuse Treatment related services in Twin Falls, ID according to public payment data.
What is the price range for Substance Abuse Treatment in Twin Falls, ID?
Medicaid reimbursement for Substance Abuse Treatment in Twin Falls, ID ranges from $31.75 to $244.69 per claim, with an average of $108.64. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Substance Abuse Treatment in Other Cities
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Avg $14.18
12,612,724 claims · 41 providers
Phoenix, AZ
Avg $94.34
10,076,493 claims · 688 providers
Springfield, MA
Avg $20.44
8,386,620 claims · 42 providers
Baltimore, MD
Avg $107.97
7,464,932 claims · 477 providers
Portland, OR
Avg $37.53
6,780,611 claims · 1329 providers
Worcester, MA
Avg $21.52
6,777,067 claims · 53 providers
Bronx, NY
Avg $38.59
6,144,578 claims · 254 providers
Albuquerque, NM
Avg $34.24
5,929,577 claims · 285 providers
Other Procedures in Twin Falls, ID
Office Visit
Avg $57.25
475,696 claims
Physical Therapy
Avg $42.45
466,064 claims
Dental Cleaning & Exam
Avg $43.04
242,818 claims
Blood Work & Lab Tests
Avg $6.66
172,186 claims
Vaccines & Immunizations
Avg $13.58
133,740 claims
Home Health Visit
Avg $58.62
133,648 claims
Psychiatric Evaluation
Avg $69.11
123,942 claims
Personal Care Services
Avg $21.02
107,979 claims